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2 <br />BASIC PROVISIONS <br />Maximum Compensation Amount $552,184.00 <br />Exhibits <br />Exhibit A: Exhibit A: Form 4.02 Price Sheet Exhibit B: Exhibit B: Proposal Response dated 12/13/24 Exhibit C: Addendum #1, RFP #2024-155 Care Management Services Exhibit D: N/A <br />Service Provider Insurance Contact Information <br />Scott Figueroa <br />360-603-4644 <br />scott.figueroa@hubinternational.com <br />Additional Provision(s) SAMSHA Clauses as attached. <br />